| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
100 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
512 |
486 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
790 |
709 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
125 |
120 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
33 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
28 |
$1K |
| 72110 |
|
15 |
14 |
$118.28 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
152 |
132 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
153 |
133 |
$0.00 |